Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ALI ADELA SAMBURSKY DNP, AGACNP-BC
NPI 1508455635
Nurse Practitioner in Houston, TX

Active since January 13, 2021PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST STE 2800, HOUSTON, TX 77030(713) 486-8000(713) 795-8115 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Aug 4, 2026, Jul 28, 2026 and 8 more (11 updates tracked since 2021).

About Mrs. Ali Adela Sambursky Dnp, Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ALI ADELA SAMBURSKY DNP, AGACNP-BC (NPI 1508455635) is an individual nurse practitioner in Houston, Texas, licensed in Wisconsin (17328-33) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508455635
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ALI ADELA SAMBURSKYCredential: DNP, AGACNP-BC
Location Address6400 FANNIN ST STE 2800Houston, TX 77030-1534
Mailing Address6400 Fannin St Ste 2070Houston, TX 77030-1541 · (713) 486-7746 · Fax (713) 500-8141
Fax(713) 795-8115
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 13, 2021
Last NPPES UpdateSeptember 25, 202611 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1508455635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WI · 17328-33✔ Licensed in NC · 5019397
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1112785 (TX), 234371 (LA), GAA-NP001959 (GA), 11009996 (FL), 2024007851 (MO)
6400 FANNIN ST STE 2800, Houston, TX 77030

Other Names 1

Former Name (1)Ms. Ali Adela Payan

Secondary Practice Locations 5

Location 115790 Paul Vega DrHammond, LA 70403-1436 · Phone (985) 230-1683 · Fax (985) 230-6652
Location 21000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000 · Fax (678) 312-3282
Location 3200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-9437 · Fax (704) 384-9440
Location 46000 Hospital DrHannibal, MO 63401-6887 · Phone (573) 248-1300
Location 51102 W 32nd StJoplin, MO 64804-3503 · Phone (417) 347-4570

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ali Adela Sambursky Dnp, Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941696728
PECOS Enrollment IDI20220404001199, I20240417001144, I20240520000254
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Ali Sambursky reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
15790 PAUL VEGA MD DR
Hammond, LA 70403
  • Reassigned Medicare billing, Texas enrollment
Internal Medicine
4945 LAPALCO BLVD STE 200
Marrero, LA 70072
  • Reassigned Medicare billing, Louisiana enrollment
  • 291 clinicians in this Medicare group
General Acute Care Hospital
1102 W 32ND ST
Joplin, MO 64804
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1679517023 (Missouri)
  • 171 clinicians in this Medicare group
Multi-Specialty
2505 MISSION DR
Jefferson City, MO 65109
  • Reassigned Medicare billing, Missouri enrollment
  • 74 clinicians in this Medicare group
Multi-Specialty
6000 HOSPITAL DRIVE
Hannibal, MO 63401
  • Reassigned Medicare billing, Missouri enrollment
  • 196 clinicians in this Medicare group
Family Medicine
50 HOSPITAL DR., UNIT 1-A
Hendersonville, NC 28792
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
Ambulatory Surgical
3880 TAMIAMI TRL N
Naples, FL 34103
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
Specialist
515 22ND AVE
Monroe, WI 53566
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
General Acute Care Hospital
3400 E RACINE ST
Janesville, WI 53546
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1730160011 (Wisconsin)
  • 35 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurocritical Care)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Physician Assistant
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Neurological Surgery
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2800
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6400 FANNIN ST STE 2800
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ali Sambursky's NPI number?

The NPI number for Ali Sambursky is 1508455635. It was assigned to this individual provider in the NPPES registry on January 13, 2021. The provider is also known as Ms. Ali Adela Payan.

Where is Ali Sambursky located?

Ali Sambursky practices at 6400 Fannin St Ste 2800, Houston, TX 77030. The listed phone number is (713) 486-8000.

What is Ali Sambursky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ali Sambursky enrolled in Medicare?

Yes. Ali Sambursky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ali Sambursky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ali Sambursky reassigns Medicare benefits to 12 organizations: North Oaks Medical Center, LLC (Hammond, LA), New Orleans Physician Services Inc (Marrero, LA), Freeman-Oak Hill Health System (Joplin, MO), Ssm Regional Health Services (Jefferson City, MO), Hannibal Regional Healthcare System Inc (Hannibal, MO) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ali Sambursky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ali Sambursky accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, Cigna Healthcare and HMO Louisiana and 1 other insurer list Ali Sambursky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ali Sambursky was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.